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Alternate Submission Form
Want to save time? Try our upload template to submit bulk referrals.
Download the XLS here
Your First Name
*
Your Last Name
*
Your Company
*
Your Email Address
*
Who are we searching for?
Full Name of Subject/Person to Search
*
Billing / ID / File Number
*
Subject Address - Please include City/State/Zip
Subject Phone (if known)
Subject Occupation (if known)
Date of Incident
*
MM slash DD slash YYYY
Subject DOB
MM slash DD slash YYYY
Full SSN
Description of Incident
*
Select Services -- Choose any Combination
*
Social Media with Scan Now
Medical Canvass
Medical Records Retrieval (HIPAA release required)
Criminal Records Search
Contact Trace (Address/Background check)
1 Day Physical Surveillance
2 Days Physical Surveillance
3 Days Physical Surveillance
5 Days Physical Surveillance
Mobile Phone - Trace location (7 days)
Unlocked Mobile Phone - Data Download
Locked Mobile Phone - Unlock & Data Download (court order/consent form required)
I have a photo or doc with additional file information
Drop files here or
Select files
Max. file size: 8 MB.
Anything Else?
Private Notes to the Investigator
Phone
This field is for validation purposes and should be left unchanged.
